Assessing and Managing Surgical Risk in Obstructive Sleep Apnea: A Narrative Review

被引：0
作者：
Sidhu, Hasrat [1 ]
Chediak, Alejandro [1 ]
Kalra, Amit [1 ]
Latorre, Christian Castillo [1 ]
Ascher, Kori [1 ]
Abreu, Alexandre [1 ]
机构：
[1] Univ Miami, Leonard Miller Sch Med, Dept Med, Div Pulm Crit Care & Sleep Med, Miami, FL 33136 USA
来源：
CURRENT PULMONOLOGY REPORTS | 2024年 / 13卷 / 01期
关键词：
Obstructive sleep apnea; Screening; Intraoperative complications; Sedation; CPAP; POSITIVE-AIRWAY-PRESSURE; BERLIN QUESTIONNAIRE; COMPLICATIONS; SOCIETY; COLLAPSIBILITY; INTUBATION; VALIDATION; GUIDELINES; ANESTHESIA; SEDATION;
D O I：
10.1007/s13665-023-00333-w
中图分类号：
R56 [呼吸系及胸部疾病];
学科分类号：
摘要：
Purpose of ReviewThe aim of this review is to examine the existing data for risks involved and clinical recommendations for patients with obstructive sleep apnea (OSA) undergoing a surgical procedure.Recent FindingsIn addition to upper airway anatomy, there are non-anatomical endotypes of OSA as well. The response of these endotypes to various perioperative scenarios can be used for targeted, patient-specific intervention. Screening tools should be used for risk stratification. Positive airway pressure therapy remains the treatment of choice. A few patients may require supplemental oxygen.SummaryObstructive sleep apnea is associated with an increased risk of perioperative complications. Due to limited research in this area, there remains a paucity of standardized practice guidelines for at risk patient populations.
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页码：10 / 17
页数：8
相关论文
共 39 条
[1]   The Impact of Untreated Obstructive Sleep Apnea on Cardiopulmonary Complications in General and Vascular Surgery: A Cohort Study [J].
Abdelsattar, Zaid M. ;
Hendren, Samantha ;
Wong, Sandra L. ;
Campbell, Darrell A., Jr. ;
Ramachandran, Satya Krishna .
SLEEP, 2015, 38 (08) :1205-1210
[2]   Difficult Airway Society guidelines for awake tracheal intubation (ATI) in adults [J].
Ahmad, I. ;
El-Boghdadly, K. ;
Bhagrath, R. ;
Hodzovic, I. ;
McNarry, A. F. ;
Mir, F. ;
O'Sullivan, E. P. ;
Patel, A. ;
Stacey, M. ;
Vaughan, D. .
ANAESTHESIA, 2020, 75 (04) :509-528
[3]   Vulnerability to Postoperative Complications in Obstructive Sleep Apnea: Importance of Phenotypes [J].
Altree, Thomas J. ;
Chung, Frances ;
Chan, Matthew T., V ;
Eckert, Danny J. .
ANESTHESIA AND ANALGESIA, 2021, 132 (05) :1328-1337
[4]  
Amer Soc Anesthesiologists, 2006, ANESTHESIOLOGY, V104, P1081
[5]   2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway* [J].
Apfelbaum, Jeffrey L. ;
Hagberg, Carin A. ;
Connis, Richard T. ;
Abdelmalak, Basem B. ;
Agarkar, Madhulika ;
Dutton, Richard P. ;
Fiadjoe, John E. ;
Greif, Robert ;
Klock, P. Allan, Jr. ;
Mercier, David ;
Myatra, Sheila N. ;
O'Sullivan, Ellen P. ;
Rosenblatt, William H. ;
Sorbello, Massimiliano ;
Tung, Avery .
ANESTHESIOLOGY, 2022, 136 (01) :31-81
[6]  
Baluch Amir, 2009, Middle East Journal of Anesthesiology, V20, P143
[7]   Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis [J].
Benjafield, Adam V. ;
Ayas, Najib T. ;
Eastwood, Peter R. ;
Heinzer, Raphael ;
Ip, Mary S. M. ;
Morrell, Mary J. ;
Nunez, Carlos M. ;
Patel, Sanjay R. ;
Penzel, Thomas ;
Pepin, Jean-Louis D. ;
Peppard, Paul E. ;
Sinha, Sanjeev ;
Tufik, Sergio ;
Valentine, Kate ;
Malhotra, Atul .
LANCET RESPIRATORY MEDICINE, 2019, 7 (08) :687-698
[8]   Pre-operative screening for sleep disordered breathing: obstructive sleep apnoea and beyond [J].
Cheng, Michael C. F. ;
Steier, Joerg .
BREATHE, 2022, 18 (03)
[9]   Patients with difficult intubation may need referral to sleep clinics [J].
Chung, Frances ;
Yegneswaran, Balaji ;
Herrera, Francisco ;
Shenderey, Alex ;
Shapiro, Colin M. .
ANESTHESIA AND ANALGESIA, 2008, 107 (03) :915-920
[10]   STOP questionnaire - A tool to screen patients for obstructive sleep apnea [J].
Chung, Frances ;
Yegneswaran, Balaji ;
Liao, Pu ;
Chung, Sharon A. ;
Vairavanathan, Santhira ;
Islam, Sazzadul ;
Khajehdehi, Ali ;
Shapiro, Colin M. .
ANESTHESIOLOGY, 2008, 108 (05) :812-821
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